I have to admit that until last week, I didn’t know anything about Eyelash Extensions. My patient presented with bilateral, red, irritated eyelids.Apparently the thicker new plastic extensions create more debris on the eyelid which increases the chances of bacterial overgrowth who feast on the debris. Some of the extension were in direct contact with the lid and perhaps mechanically irritate? The extensions are glued onto the natural lash with fast drying adhesive and I don’t know the composition of that glue. As a neophyte on this particular topic, I advised my patient to clean her lids more extensively and if that doesn’t help, remove the lashes. I’ll wait to obtain more information before making judgements.